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Annals of Internal Medicine tip sheet for Feb. 19, 2013
Date:2/18/2013

he second most common cause of blindness worldwide. Open-angle is the most common type of glaucoma where an increase in pressure on the optic nerve occurs slowly over time. Open-angle glaucoma tends to run in families, with African Americans being at a high risk. The researchers reviewed published evidence to assess treatments' effectiveness at decreasing intraocular pressure and preventing optic nerve damage, vision loss, and visual impairment. High-level evidence suggests that both medical and surgical treatments for glaucoma decrease intraocular pressure and protect against worsening visual field loss, with surgical treatment (trabeculectomy) being slightly more effective. Reviews comparing timolol with travoprost and latanoprost showed the prostaglandins to be more effective at decreasing intraocular pressure. However, prostaglandins were also more likely to cause eye redness. The reviewers found insufficient evidence linking treatment of any kind to patient-reported outcomes or visual impairment. The draft recommendations will be posted to the Task Force website on February 18 at 5:00 p.m and published in Annals of Internal Medicine when they are finalized.

Note: For an embargoed PDF, please contact Megan Hanks or Angela Collom. To interview the lead author, please contact Ana Fullmer at ana.fullmer@edelman.com or 202-350-6668. A link to this article will be live at 5:00 p.m. on February 18 http://www.annals.org/article.aspx?doi=10.7326/0003-4819-158-4-201302190-00008.


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Contact: Megan Hanks
mhanks@acponline.org
215-351-2656
American College of Physicians
Source:Eurekalert

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